MRS. DANITA GRACE VANDERKODDE (PA-C) – Physician Assistant, NPI 1891996294
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. DANITA GRACE VANDERKODDE (PA-C)
8333 FELCH ST STE 300
ZEELAND, MI 494642609
Phone: (616) 267-7104
Type: Location
2855, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49506, United States
SUITE 200
GRAND RAPIDS, MI 495061221
Phone: (616) 957-4090
Fax: (616) 957-4095
Type: Mailing
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
2750 E BELTLINE AVE NE FL 3
GRAND RAPIDS, MI 495258614
Phone: (616) 267-7104
Fax: (616) 267-7594
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $6,646.
Total Amount is formed as General ($6,646) + Research ($0) + Ownership ($0) = $6,646.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($2,831).
Total Amount
$6,646
General + Research + Ownership
Payments
55
Total payment records
General Amount
$6,646
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $2,831 |
| Celgene Corporation | $1,725 |
| TG Therapeutics, Inc. | $1,048 |
| EMD Serono, Inc. | $239 |
| Genentech USA, Inc. | $204 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-09-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080902000210 | I | Physician Assistant | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 52 | 45 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 13 | $0 |
Insurance plans in this area (ZIP 49464)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Vascular Surgery | IL | |
| - | MI | |
| - | MI | |
| A N E S T H E S I O L O G Y | TX | |
| Clinical Social Worker | MI |
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